Scarlet Fever Questions & Answers

Updated: Aug 07, 2018
  • Author: Bahman Sotoodian, MD; Chief Editor: William D James, MD  more...
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Questions & Answers

Overview

What is scarlet fever?

From what conditions does scarlet fever evolve?

What is the pathophysiology of rash in scarlet fever?

What are the common sites of GABHS replication in the pathogenesis of scarlet fever?

What causes scarlet fever?

How do group A streptococci cause scarlet fever?

What are risk factors for scarlet fever?

How does temperature affect transmission of scarlet fever?

What is the incubation period for scarlet fever?

What is the prevalence of scarlet fever?

How does the incidence of scarlet fever vary by age?

How does the incidence of scarlet fever vary between men and women or among races?

What is the prognosis of scarlet fever?

What was the impact of scarlet fever prior to the discovery of antibiotics?

What are possible complications of scarlet fever?

How are complications of scarlet fever diagnosed?

What information about scarlet fever should patients receive?

Presentation

What are the signs and symptoms of scarlet fever?

If left untreated, how does scarlet fever progress?

What history can aid in the diagnosis of scarlet fever?

What are physical findings characteristic of scarlet fever?

How long does a cutaneous rash persist in scarlet fever?

What are possible complications of scarlet fever?

What are the most common complications of scarlet fever?

What are rare complications in scarlet fever?

What are late complications in scarlet fever?

Which symptoms may occur weeks to months after of scarlet fever?

DDX

What conditions should be included in the differential diagnoses of scarlet fever?

How are rubella and rubeola differentiated from scarlet fever?

What other viral and bacterial illnesses should be considered when diagnosing scarlet fever?

What noninfectious diseases should be considered when diagnosing scarlet fever?

What are the differential diagnoses for Scarlet Fever?

Workup

What is the role of lab tests in the diagnosis of scarlet fever?

What is the role of WBC count in the diagnosis of scarlet fever?

What is the role of urinalysis and liver function tests in the evaluation of scarlet fever?

What is the role of throat culture in the diagnosis of scarlet fever?

What is the sensitivity of throat culture for diagnosing scarlet fever?

How can sensitivity be maximized in throat cultures for scarlet fever?

What is the role of direct antigen detection in the diagnosis of scarlet fever?

What is the role of streptococcal antibody testing in the diagnosis of scarlet fever?

Which microscopic findings are characteristic of scarlet fever?

Treatment

What are the goals of treatment of scarlet fever?

What is the treatment of choice for scarlet fever?

Which drugs are used in the treatment of scarlet fever?

When should cultures be obtained in the management of scarlet fever?

When is hospitalization indicated for scarlet fever?

How can contagion be minimized in scarlet fever?

When are specialists consultations indicated for the treatment for scarlet fever?

What monitoring is needed following treatment for scarlet fever?

Medications

What is the standard treatment for scarlet fever?

Which medications in the drug class Antibiotics are used in the treatment of Scarlet Fever?